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Related Experiment Videos

Vascular rings--presentation, investigation and outcome.

Alastair Turner1, Gil Gavel, Jonathan Coutts

  • 1Department of Paediatrics, Royal Hospital for Sick Children, Yorkhill, Glasgow, UK. alastairturner@yahoo.co.uk

European Journal of Pediatrics
|January 25, 2005
PubMed
Summary

Vascular rings, though rare, often present with common symptoms like stridor in infants. While imaging like CT and MRI are accurate, some patients experience persistent symptoms post-surgery.

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Area of Science:

  • Pediatric Surgery
  • Cardiovascular Imaging
  • Congenital Heart Disease

Background:

  • Vascular rings are congenital anomalies of the aortic arch.
  • Presentation can be variable, often mimicking more common pediatric respiratory or feeding issues.

Purpose of the Study:

  • To describe the clinical presentation of pediatric patients with vascular rings.
  • To evaluate the diagnostic accuracy of various imaging modalities.
  • To assess surgical outcomes and long-term respiratory sequelae.

Main Methods:

  • Retrospective case note study of patients under 16 years.
  • Analysis of demographic data, symptoms, and diagnostic investigations.
  • Evaluation of surgical complications, mortality, and persistent respiratory symptoms.

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Main Results:

  • 24 patients identified, median age 4.5 months; stridor was the most common symptom.
  • Angiography, CT, and MRI showed 100% accuracy; X-ray and echocardiography had lower detection rates.
  • Low surgical complication (4/24) and mortality (1/24) rates; 7/20 patients had persistent stridor at 3 months post-op.

Conclusions:

  • Vascular rings present with common symptoms, often in early infancy.
  • High-resolution CT is a key diagnostic tool, following initial barium swallow.
  • Surgery is generally safe, but persistent symptoms like stridor can occur.